EXPERIENCIAS DE APROXIMACIÓN A LA EFICIENCIA TÉCNICA DE UNIDADES MÉDICAS PRESTADORAS DE SERVICIOS DE SALUD EN MÉXICO Y CUBA. APLICACIÓN DEL ANÁLISIS ENVOLVENTE DE DATOS.

Abstract

The study of the efficiency of health units contributes to design strategies for attaining better results with the available resources. The objective was to develop an algorithm for measuring the efficiency at a health care institution, in order to identify the units with better productive practice; and to impel the productive efficiency by means of the incorporation of management processes of benchmarking. The algorithm developed was made on the basis of bibliographic revision and the knowledge of experts. Qualitative and quantitative techniques were combined in the algorithm. It was applied to measure the efficiency of centers of health of Tabasco, Mexico and the efficiency of polyclinics of the provinces of Cienfuegos and Matanzas, Cuba. 15 operations were defined. Data Envelopment Analysis was the technique used to measure the efficiency. More 50% of the studied units were inefficient. In all the inefficient units, potential areas for improving the efficiency and references units were found